Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower lawyers fighting Medicare and Medicaid fraud in Medford, Oregon

Medicare and Medicaid fraud cost Oregon taxpayers billions of dollars annually. Although the majority of medical service providers and drug companies are ethical and work within the legal channels, some do not. When fraud happens, everyone can lose. Medicare and Medicaid whistleblower lawyers help healthcare professionals to file suits on behalf of the federal or state government to help report this type of fraud.

The federal and state governments put a lot of trust in pharmaceutical and medical providers. When that trust is ill-placed, the government counts on regular folks in Oregon to come forward and to report fraud. People like you.

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Experienced Medicare and Medicaid whistleblower lawyers; representing health care employees in Medford, Oregon

At Khurana Law Firm, P.C., as experienced Medicare and Medicaid whistleblower attorneys, we support your brave choice to come forward to report abuse and scams in the industry. understand that stepping forward is difficult and numerous things might be at stake. When you come to us, your case is held in the strictest confidence .

With our substantial experience representing whistleblowers nationwide, we thoroughly investigate your claim, carefully prepare your case, for court, and work tirelessly with you and the federal or state government to assist in bringing deceptive Medicaid or Medicare activity to justice.

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Whistleblower Laws in Medford, Oregon

State and federal governments may lose billions of dollars each year in healthcare fraud. In Oregon, although the state does not have a false claims act of its own, a private individual who knows of deceitful activity against the Medicaid program might have the ability to file a qui tam claim under the federal False Claims Act.

 

The federal False Claims Act entitles a a private citizen to file a civil lawsuit on behalf of the federal government to recuperate their portion of the damages from fraudulent activity. The act entitles the whistleblower to collect a financial reward and provides company retaliation protection to the whistleblower.

 

If the government selects to intervene in the suit, a whistleblower may be able to collect between 15 and 25 percent of the recovery by the federal government. If the federal government selects not to participate in the suit, the whistleblower might be able to collect between 25 and 30 percent of the funds recovered.

Liability of the Defendant in Medford, Oregon

Under the federal False Claims Act, an accused in a qui tam suit can be mandated to pay damages in the amount of up to triple the monetary harm to the government in addition to substantial fines for each offense.

Statute of Limitations in Oregon

Under the federal False Claims Act, a whistleblower has to file their complaint within 10 years of the date of the violation.

Working With an Experienced Whistleblower Lawyer

State and federal governments count on private citizens to come forward with details relating to health care scams. For their brave efforts, a whistleblower might be entitled to substantial awards. If you know of deceitful Medicaid activity in Medford, Oregon, you might have the ability to file a whistleblower claim and collect a a financial award under the federal False Claims Act. At Khurana Law Firm, our knowledgeable whistleblower lawyers can help. We provide a no-cost consultation to discuss your case and your rights under the law. Contact us to schedule an appointment.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:

Upcoding

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Medford, Oregon, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Medford, Oregon,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Work With An Experienced WHISTLEBLOWER LAWYER; We are proud to represent healthcare workers in Medford, Oregon

When you become aware of deceptive activity that may involve Medicare or Medicaid in Medford, Oregon, you need the advice of an experienced whistleblower lawyer, someone who can ensure that your claim is fully investigated and submitted accurately and promptly. By dealing with a skilled attorney you are increasing the chance that the government will intervene, therefore increasing your chances for a financial reward. Reporting Medicare and Medicaid fraud is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam attorneys to help in your battle against Medicare and Medicaid scams. After you get in touch our lawyers will review your case on a confidential, no-obligation basis. If we feel you may have a valid claim, we can represent you in a qui tam suit to help report the scams and enable you to collect a reward. Because all whistleblower work is on contingency, you pay nothing up until there is a recovery. Contact us today to learn how we can help.

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